Circumcision
From Ganfyd
This article is a stub. Please feel free to expand it and make it more encyclopaedic.
Web Resources for Circumcision
Relevant Clinical Literature
UK Guidance
Other Wikis
Medpedia on Circumcision (Less technical, good quality control)
Wikipedia on Circumcision (Less technical, ? quality control)
Removal of the foreskin. (NB - this page applies only to removal of the male foreskin, not to female genital mutilation.
Contents |
Indication
- Phimosis
- Irreducible Paraphimosis
- Recurrent balanitis
- Balanitis xerotica obliterans
- Carcinoma of the prepuce
Circumcision may also be performed for religious or cultural reasons. Traditional circumcision may be associated with a risk of complications.[1]
There is some evidence to suggest that circumcision may reduce the likelihood of acquiring sexually transmitted infections, including HIV[2] and HPV[3]; but there is little evidence that this applies in developed countries.[4]
Surgical techniques
The Plastibell device is used as a speedy alternative to the classic circumcision.
Analgesia
Blockade of the dorsal nerves, using a small amount of local anaesthetic - bupivacaine for extended duration, prilocaine or lidocaine for rapid onset - below the pubic symphysis may be used as a component of an anaesthetic technique and provides pain relief post-operatively. It has been used as a sole agent but is not expected to provide complete anaesthesia. | No adrenaline |
Complications
- post-operative haemorrhage (this can usually be controlled and stopped by firm digital pressure for 10 minutes).
- wound infection
References
- ↑ Peltzer K, Nqeketo A, Petros G, Kanta X. Traditional circumcision during manhood initiation rituals in the Eastern Cape, South Africa: a pre-post intervention evaluation. BMC public health. 2008; 8:64.(Epub) (Link to article – subscription may be required.)
- ↑ Macdonald A, Humphreys J, Jaffe HW. Prevention of HIV Transmission in the United Kingdom: What is the Role of Male Circumcision? Sexually transmitted infections. 2008 Feb 18.(Epub ahead of print) (Link to article – subscription may be required.)
- ↑ Hernandez BY, Wilkens LR, Zhu X, McDuffie K, Thompson P, Shvetsov YB, Ning L, Goodman MT. Circumcision and Human Papillomavirus Infection in Men: A Site-Specific Comparison. The Journal of infectious diseases. 2008 Feb 19.(Epub ahead of print) (Link to article – subscription may be required.)
- ↑ Dickson NP, van Roode T, Herbison P, Paul C. Circumcision and risk of sexually transmitted infections in a birth cohort. The Journal of pediatrics. 2008 Mar; 152(3):383-7.(Link to article – subscription may be required.)
